Nuri YILDIRIM, Ceren SANCAR, Levent AKMAN, Ahmet BİLGİ, Osman ZEKİOGLU, Mustafa Cosan TEREK, Ahmet Aydın ÖZSARAN

PERİTONEAL YAYILIM GÖSTEREN VE KOLON KANSERİNİ TAKLİT EDEN REKTOSİGMOİD KİTLE: GRANÜLOZA HÜCRELİ TÜMÖR

Granüloza hücreli tümör; overin seks-kord stromal tümörlerinden en sık görülenidir. Yetişkin ve jüvenil olmak üzere iki tipi vardır. Yetişkin tip tümör genellikle adneksiyal kitle ve tümörün hormon salgılamasına bağlı vajinal kanama ile erken dönemde teşhis edilir. Burada karında kitle ve rektal kanama ile hastanemize başvuran 42 yaşındaki postmenopozal olguyu sunduk. Eksploratif laparotomide yaklaşık 20 cm boyutunda mezenterik kitle ile karaciğer metastazı ve çevre dokulara yayılmış implantlar saptandı. Eksize edilen kitlenin histopatolojik incelemesinde yetişkin tipi granüloza hücreli tümör özellikleri görüldü.

Anahtar Kelimeler:

Ekstraovaryan, granüloza hücreli, over tümörü

GRANULOSA CELL TUMOR WITH PERITONEAL DİSSEMINATION AND RECTOSIGMOID MASS MIMICKING COLON CANCER

Granulosa cell tumor is the most common sex-cord stromal tumor of the ovary. There are two types of granulosa cell tumor, which were defined as juvenile and adult types. Generally, the adult type tumor is diagnosed at early stages with adnexal mass and vaginal bleeding due to hormone secretion from the tumor. We report a 42 year-old postmenopausal woman admitted to our hospital with an abdominal mass and rectal bleeding. Exploratory laparotomy revealed a large mesenteric mass measuring 20 cm with spread implants and liver metastasis. Histopathological examination of the excised mass showed features of adult-type granulosa cell tumor.

Keywords:

Extraovarian, granulosa cell, ovarian tumors,

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